Advertisement

Lateral Internal Sphincterotomy for Chronic Anal Fissure

  • Carol E. H. Scott-Conner
  • Jameson L. Chassin
Chapter

Abstract

Lateral internal sphincterotomy is indicated for a painful chronic anal fissure not responsive to medical therapy. This chapter describes the surgical technique.

Keywords

Anal Canal Dentate Line External Sphincter Lower Border Internal Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. Abcarian H. Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs fissurectomy—midline sphincterotomy. Dis Colon Rectum. 1980;23:31.PubMedCrossRefGoogle Scholar
  2. American Medical Association. Current procedural terminology: CPT ®. Professional ed. Chicago: American Medical Association; 2013. http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billinginsurance/cpt.page.
  3. Lasheen AE, Morsy MM, Fiad AA. Segmental internal sphincterotomy – a new technique for treatment of chronic anal fissure. J Gastrointest Surg. 2011;15:2271.PubMedCrossRefGoogle Scholar
  4. Mazier WP. Hemorrhoids, fissures, and pruritus ani. Surg Clin North Am. 1994;74:1277.PubMedGoogle Scholar
  5. Nelson RL, Chattopadhyay A, Brooks W, Platt I, Paavana T, Earl S. Operative procedures for fissure in ano. Cochrane Database Syst Rev. 2011;11, CD002199.PubMedGoogle Scholar
  6. Notaras MJ. The treatment of anal fissure by lateral subcutaneous internal sphincterotomy: a technique and results. Br J Surg. 1971;58:96.PubMedCrossRefGoogle Scholar
  7. Sinha R, Kaiser AM. Efficacy of management algorithm for reducing need for sphincterotomy in chronic anal fissures. Colorectal Dis. 2011;10:1463.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

Personalised recommendations